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Abstract
Echinococcosis is a chronic zooantropohelmintic infecion. Parasitic cyst in majority of cases is located in liver (65-75%) or lung (25-30%). Muscular echinococcosis is rare (3-5%). Two cases of femoral intramuscular location of echinococcosis in one patient is described. Interval between admissions of patient was 6 month. Cyst was located in the same lower limb, but on different sides (anterior and posterior). Cyst was diagnosed by ultrasound. Echinoccoccal nature was proved by laboratory tests (Katsoni reaction, nondirect hemaglutination test). MRI helped us to exclude location of cysts in other parts of the body. Operation performed in both cases echinococcectomy. Local scolicidal agent used Betadin 20%. Duration of exposition of scolicidal agent 10 min. Scolicidal treatment after operation with Albendazole.Clinical judgment had two directions: either we left second cyst during first operation, or wound contamination resulted reoccurrence of the cyst. We exclude overlook of the cyst because of multiple ultrasound and MRI checks. We exclude reoccurrence of the cyst, since they were located in the different sites of the leg. Therefore with high probability we can judge, that both cysts were developed independently from each other. Thus, described cases are interesting be- cause of its rarity.
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